RiteMED Telmisartan Dosage/Direction for Use

Treatment of essential hypertension: The recommended dose is 40 mg once daily. Some patients may already benefit at a daily dose of 20 mg. In cases where the target blood pressure is not achieved, Telmisartan dose can be increased to a maximum of 80 mg once daily. Alternatively, Telmisartan may be used in combination with thiazide-type diuretics such as hydrochlorothiazide, which has been shown to have an additive blood pressure lowering effect with Telmisartan. When considering raising the dose, it must be borne in mind that the maximum antihypertensive effect is generally attained four-eight weeks after the start of treatment.
In patients with severe hypertension treatment with Telmisartan at doses up to 160 mg alone and in combination with hydrochlorothiazide 12.5-25 mg daily was well tolerated and effective.
Reduction of cardiovascular morbidity: The recommended dose is 80 mg once daily. It is not known whether doses lower than 80 mg of Telmisartan are effective in reducing cardiovascular morbidity. When initiating Telmisartan therapy for the reduction of cardiovascular morbidity, monitoring of blood pressure is recommended, and appropriate adjustment of medications that lower blood pressure may be necessary.
Telmisartan may be taken with or without food.
Renal impairment: No posology adjustment is required for patients with renal impairment, including those on haemodialysis.
Telmisartan is not removed from blood by hemofiltration.
Hepatic impairment: In patients with mild to moderate hepatic impairment, the posology should not exceed 40 mg once daily.
Elderly: No dosing adjustment is necessary.
Children and adolescents: Telmisartan is not recommended for use in children below 18 years due to limited data on safety and efficacy.